OSA CHECKLIST/ COVER SHEET
APPLICATION FOR FINANCIAL CERTIFICATION/ SURETY ASSESSMENT BY THE OSA
NAME OF SCHOOL: ____________________________________________________________
O
WNER/ DIRECTOR/
AUTHORIZED AGENT: _____________________________________________________________
Name Title Date Submitted to OSA
_____ 1. INDEPENDENTLY-PREPARED YEAR-END FINANCIAL STATEMENTS- MA SCHOOL
_____ 2. INDEPENDENTLY-PREPARED FINANCIAL STATEMENTS- PARENT ENTITY (IF APPLICABLE)
_____ 3. BANK STATEMENT/ VERIFICATION OF AVAILABLE RESOURCES AT FISCAL YEAR-END
_____ 4. CURRENT BANK STATEMENT/ VERIFICATION OF AVAILABLE RESOURCES LAST MONTH
_____ 5. APPLICATION FOR FINANCIAL CERTIFICATION BY THE OFFICE OF THE STATE AUDITOR
_____ 6. REPRESENTATIONS OF OWNERSHIP & MANAGEMENT
_____ 7. ARTICLES OF INCORPORATION/ PARTNERSHIP AGREEMENT/ BUSINESS CERTIFICATE
(VERIFICATION OF LEGAL NAME & OWNERSHIP STRUCTURE OF APPLICANT)
_____ 8. DOCUMENTATION RE NONPROFIT, TAX-EXEMPT STATUS (IRS 501 (c) (3) DETERMINATION)
_____ 9. DOCUMENTATION RE ACCREDITATION BY A U.S. DOE-RECOGNIZED ACCREDITING AGENCY
_____ 10. DOCUMENTATION RE US DOE AUTHORIZATION TO PARTICIPATE IN TITLE IV / HEA
STUDENT FINANCIAL ASSISTANCE PROGRAMS)
_____ 11. SCHOOL CATALOG/ BROCHURES/ PROMOTIONAL LITERATURE
_____ 12. STUDENT ENROLLMENT CONTRACT (MGL CHAPTER 255, SECTION 13K PRO RATA TUITION
REFUND PROVISIONS MANDATED FOR FOR-PROFIT SCHOOLS))
_____ 13. MASSACHUSETTS COURSE CALENDAR FOR THE UPCOMING YEAR
_____ 14. MA TUITION INCOME & ENROLLMENT PROJECTIONS/ MONTH FOR THE UPCOMING YEAR
_____ 15. DOCUMENTATION RE CURRENT MA INDEMNIFICATION/ SURETY PROTECTION LEVEL
(MGL CHAPTER 112, SECTION 263 (g): INDEMNIFICATION MAY TAKE THE FORM OF A SURETY
BOND, A TERM DEPOSIT ACCOUNT, OR AN IRREVOCABLE LETTER OF CREDIT.)
The Commonwealth of Massachusetts
AUDITOR OF THE COMMONWEALTH
ONE WINTER STREET, 9
th
FLOOR
BOSTON, MASSACHUSETTS 02108
SUZANNE M. BUMP, ESQ.
AUDITOR
TEL (857) 242-5503